Gordon E Pennebaker (NPI# 1366494197, PAC ID# 3870576994) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1366494197 |
| PAC ID by PECOS | 3870576994 |
| Professional Enrollment ID | I20050131000116 |
| Full Name | Gordon E Pennebaker |
| Organization Legal Name | SENTINEL HEALTH PARTNERS PA |
| Address |
1344 Haile St Camden SC 29020-3076 |
| Phone Number | 8034321996 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2769386614 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420048 | KERSHAWHEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1344 Haile St, Camden, SC 29020-3076 | 8034321996 | SENTINEL HEALTH PARTNERS PA |
| 710 Dewitt Dr, Lugoff, SC 29078-9069 | 8034387566 | SENTINEL HEALTH PARTNERS PA |
| Organization Legal Name | SENTINEL HEALTH PARTNERS PA |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Moore Jr. | Optometry | Sentinel Health Partners Pa | 615 Laurens St, Camden, SC 29020-3523 |
| Min W Kang | Family Medicine | Sentinel Health Partners Pa | 2689 Hwy 1 S, Elgin, SC 29045-9055 |
| Paula L Belmar | Internal Medicine | Sentinel Health Partners Pa | 216 E Marion St, Kershaw, SC 29067-1442 |
| James C Kearse Iii | Family Medicine | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Ashley B Divers | Nurse Practitioner | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Tallulah F Holmstrom | Internal Medicine | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Anne B Blake | Nurse Practitioner | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Daniel W Skufca | Ophthalmology | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Anita M Dubose | Nurse Practitioner | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| John A Adams | Internal Medicine | Sentinel Health Partners Pa | 2689 Hwy 1 S, Elgin, SC 29045-9055 |
| Street Address |
1344 HAILE ST |
| City | CAMDEN |
| State | SC |
| Zip | 29020-3076 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James C Kearse Iii | Family Medicine | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Ashley B Divers | Nurse Practitioner | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Tallulah F Holmstrom | Internal Medicine | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Anne B Blake | Nurse Practitioner | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Daniel W Skufca | Ophthalmology | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Anita M Dubose | Nurse Practitioner | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Lauren M Taylor | Physician Assistant | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| James C Mcalpine Jr. | Internal Medicine | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Jamie E Hendrix | Nurse Practitioner | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Jack F Scheuer Jr. | Internal Medicine | Sentinel Health Partners Pa | 1344 Haile St, Camden, SC 29020-3076 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Nicole Jones | Nurse Practitioner | Lowcountry Urgent Care LLC | 2010 W Dekalb St, Camden, SC 29020-2058 |
| Sandra D Randolph | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Chanelle C Jackson | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Janette M Capaci | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Sandra A Jones | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Patricia A Siefferman | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Jonathan Braun Ksor | Podiatry | Carolina Podiatry Clinic LLC | 2502 Broad St, Camden, SC 29020-2225 |
| John Ksor | Podiatry | Carolina Podiatry Clinic LLC | 2502 Broad St, Camden, SC 29020-2225 |
| James Huger Richardson | Cardiovascular Disease (cardiology) | Providence Group Practices II LLC | 1330 Haile St, Camden, SC 29020-3002 |
| Venkateshwar K Gottipaty | Cardiac Electrophysiology | Providence Group Practices II LLC | 1330 Haile St, Camden, SC 29020-3002 |
| Find all physicians in zip 29020 | |||
| City | CAMDEN |
| Zip Code | 29020 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CAMDEN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gordon E Pennebaker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.